| NPI | 1245650001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP GUPTA Owner 419-475-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.122881) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2026-05-12 |